L14: A review of occupational health in clinical practice, small animal zoonoses Flashcards
Which two organisations may a GP report a zoonosis to?
HSE or PHE
How do GPs report to HSE?
Via RIDDOR
Which scheme allows those injured by their profession to claim disability benefits?
Industrial Injuries Scheme
Why are immunosuppressed animals the greatest risk for zoonosis?
Increased shedding, lowest response to infections
By what age does primary immunodeficiency manifest?
1 year
How many humans cases of T caninum are there per year?
Less than 10
What is the major source of T caninum infection?
Puppies (dogs coat)
How long is egg embryonation in T caninum?
2-3 weeks
What causes cat scratch disease?
Bartonella henselae
What % of cats have subclinical Bartonella?
38%
Which cat body fluids can spread Bartonella?
Blood and saliva
What do you treat Bartonella with?
Aminoglycosides
What are symptoms of Bartonella in humans?
Local LN swelling, conjunctivitis, uveitis
Which are the most common cats to have Bartonella?
Kitten ownership, flea problems
What causes Rat Bite Fever?
Streptobacillus moniliformis, Spirillum minus
What % of rats carry rat bite fever?
50%
Which two ways can rat bite fever be transmitted?
Bites or water borne
What do you treat rat bite fever with?
Tetracycline and penicillin
What are symptoms of rat bite fever in humans?
Fever, symmetrical rash, arthritis in humans
What three things does ancyclostoma caninum cause in humans?
Dermatitis, eosinophilic enteritis, anaemia
How long can ancyclostoma caninum larvae remain infective in a damp environment?
5-9 days
How are neonatal pups infected with ancyclostoma caninum?
Milk
How is echinococcus spread to humans?
Flies or oro-faecal contact
What disease does echinococcus cause in humans?
Hydatid disease
Which areas is echinococcus found in?
Sheep areas
How long is Lepto incubation?
5-14 days
How do you diagnose Lepto in humans?
Ag and Ab detection
What do you treat Lepto with?
Penicillin
How long does it take to recover from Lepto?
6 weeks - 6 months
What causes feline Leprosy?
Saprophytic Mycobacteria or M lepraemurium
What does feline leprosy look like in cats?
Localised ulcerating skin lesion
What kind of virus is skin cowpox?
Orthopoxvirus
What is the host of skin cowpox?
Rodent
WHat does skin cowpox look like in cats?
Abscess at the point of infection, pyrexia, ulcerated and crusting skin lesions, recovery
What does skin cowpox look like in humans?
Orf-like lesion on finger, arm or face which resolves in 4-5 weeks
Which body areas are mite lesions often found?
Axillae, wrist, groin
Which body areas are mite bites often seen?
Ankles and lower legs
What three conditions can Pasterella cause in humans?
Cellulitis, septicaemia, cardiac tamponade
How is Capnocytophaga canimorsus spread to humans?
Bite wounds
What are two consequences Capnocytophaga canimorsus of in humans?
DIC and acute renal failure
Which kind of people are most at risk of Capnocytophaga canimorsus?
Alcoholics and older people
Which species is Capnocytophaga canimorsus also described in?
Cats
What should you do following a possible rabies bite?
Give Igs IM and around wound, vaccination, can amputate limb
What is the order of common allergy-inducing species?
Cat, guinea pig, rabbits, horse, dog, birds
Which two pathogens can rabbits spread by aerosol?
Bordetella, lymphocytic choriomeningitis virus
What can rabbits spread in the urine?
Lepto
What can rabbits spread in their faeces?
E Coli, Salmonella, Yersinia, Brachyspira, C diff (G pigs, hamsters, gerbils)
What three pathogens can snakes carry?
Salmonella, Aeromonas, Mycobacterium
How many zoonoses do brown rats carry?
35
What % prevalence is hantavirus in rat owners?
33% owner prevalence
What can rats spread in their skin?
Dermatophytes
What 4 things can rats spread in their faeces?
Campylobacter, S typhimurium, Yersinia, Crypto
What are 3 unusual Salmonella serotypes found in rat faeces?
S orianenburg, poona, arizonae
What do giant millipedes release when threatened?
Hydrocyanic acid and benzoquinones
WHat does the giant millipede secretion cause in humans?
Erythema, blistering, looks like intentional injury